Comparison of Inhaled Or Intravenous anaesthesia for Endoscopic Sinus Surgery

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Comparison of Inhaled Or Intravenous anaesthesia for Endoscopic Sinus Surgery

Total intravenous anaesthesia (TIVA) shows a statistically significant in reducing complications during endoscopic sinus surgery (ESS), an interpretation of a recently executed a double‐blind, randomised, controlled trial. One of the major complications of endoscopic sinus surgery (ESS) is bleeding which can damage visualisation and delay the operation.

The anaesthetic approaches that used to manage such issues during ESS studied before, but present data regarding these studies is indefinite and requiring methodological compatibility. These deficits of previous studies are attempting to be resolved with the conduction of this study involving evaluation of the impact of TIVA vs inhaled anaesthetic on the quality of surgical field during operation.

A total of 30 patients went through bilateral ESS for the initial examination of chronic rhinosinusitis. Along with standard methods used to reduce blood loss, patients also received intravenous Propofol or inhaled Desflurane. Bispectral index (BIS) was used for anaesthetic depth standardization. The endoscopic surgical field was assessed using the Wormald grading scale.

A significant reduction was seen in the mean Wormald score while after the administration of TIVA than Desflurane. The patients with TIVA also exhibited lowered mean Boezaart score. Experimental groups showed similar baseline characteristics. However, significant variations were seen in the experimental groups regarding secondary outcomes; estimated blood loss, surgical duration, and time to extubation. Even with all additional factors executed surgical field optimization, the performance of TIVA vs inhaled anaesthetic still exhibited a statistically significant improvement in the surgical field during ESS.

Source:

Int Forum Allergy Rhinol

Link to the source:

https://www.ncbi.nlm.nih.gov/pubmed/30198644

original title of article:

Total intravenous anesthesia vs inhaled anesthetic for intraoperative visualization during endoscopic sinus surgery: a double blind randomized controlled trial.

Authors:

Michael Little et al.

SearchTags: 
Therapeutic, Propofol, Desflurane, Anesthesia, Double Blind Randomized Controlled Trial, Efficacy, Intravenous, Inhalation
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